Association Between 4-Month Isokinetic Testing Measures and Second Knee Injuries After
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- ACL Injury
- Sponsor
- University Hospital, Caen
- Enrollment
- 150
- Locations
- 1
- Primary Endpoint
- Change in Strength
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
Anterior cruciate ligament (ACL) is a frequent and disabling injury in athletes. Most of the time, ACL reconstruction (ACLR) is consider for regaining function and returning to preinjury sports while reducing the risk of secondary injuries. However, the risk of secondary severe knee injury is increased after ACLR, especially in athletes returning to strenuous activities. If strength symmetry is considered as an important factor in the Return-to-sport (RTS) decision, there is conflicting data about the association between strength symmetry and the risk of second knee injury after ACLR. The main objective of this study was to test if knee muscles strength symmetry at 4 months was associated with the psychological readiness and incidence of subsequent severe injury of both knees at a minimum 2 years follow-up after ACL-R.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients who have had an ACL reconstruction surgery (isolated or associated with other meniscal or ligamentary surgery) Patient included in the sport medicine follow-up protocole with intermediate and final isokinetic muscular assessment at 3-4 months Patient who received the information form Patients with access to the Internet
Exclusion Criteria
- •Patient who did not participate in all follow-up consultations and isokinetic muscular assessments Patients who had a previous knee surgery before the ACLR Cognitive or sensory impairment making it impossible to understand the information form Neurological, traumatic or osteoarticular history responsible for muscle imbalance prior to surgery
Outcomes
Primary Outcomes
Change in Strength
Time Frame: ACL group: Two evaluations on both injured and healthy knees: 3-4 months after surgery; Routine practice following guidelines]
Measurement of knee extensors and flexors peak strength (in newton.meter, Nm) on isokinetic dynamometer.
Secondary Outcomes
- Surgery characteristics(ACLR group: Two follow-up medical consultations 4 months after surgery)
- Individual characteristics(ACLR group: Two follow-up medical consultations: (1) 4 months after surgery and (2) 2 years after the surgery for return to sport and reinjury;)
- Re-injuries(ACLR group: One evaluation with a minimum 2 years follow-up after the surgery)
- Anterior Cruciate Ligament-Return to Sport after Injury (ACL-RSI) scale.(ACLR group: One evaluation with a minimum 2 years follow-up after the surgery)